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ELECTaICAL PERMIT APF�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> Iz� 3 s �-_ � v�.�¢� tw� (( wa., � m <br /> PROJECT AD�RESS p� '/ <br /> S �"� Yr�-r� � �y3aS e.. ��( /x��cVti 775�' 7�{7—��zSl <br /> Owner Mail Address City State2ip Phone <br /> �rrca�� c,/ �� s /zo '� S��_ £u�J�- /^�a/1 C✓�F /�c�..!-� !n/a- <br /> i <br /> Tenanl Mail Address Ciry State/Zip Phone <br /> /�e,rr c�.✓ /?v. S�F Sz 6 i L ,,.,v... � .� �i' FsvYL 'fzs-- -,�7�- $S�3 S— <br /> Electrical Contraclor Mail Address � City State2ip Phone <br /> [_ir Sf� 3 � � p p o0 <br /> State Lic nse Number Contract Price of Work <br /> l-�4ir �Gva- I>Lo�� l, <br /> Proposed Use of Building Contact Person (Plan eview) <br /> �JescriptionofWorkloBeDone: /r�ov� «�S-�i..� s J i ✓-o �v�U L���-J(�.�i <br /> NOTE: P�ANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHI�I <br /> RANGESI OF WAC SE 20 SEC.O3N 6(b)4CE & FI AND NOT L S�S THAN 36LINCHES ABOV�EUTHE�LOOR.IN THE REACH <br /> I HEFEBY CERTIFY THAT 1 HAVE READ AND EXAMINED �HIS APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRE:T. ALL <br /> NO�f,VTHE GRAONTING OF A PERMIT DOES NOT�PRESUME TO GIVc A�HOR�TY TO,VIOLA E ORPCANCE�HE PROVISIONS OPAN�OTHER <br /> STATE OF LOCAL LAW REGULATINu CONSTRUCT.'ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEFFORM 'fHE WOAK FOF WHICH APPLICATION IS MADE AND 1 COMPLY WITH TNE STATE <br /> CONTRACTORS LAW 18.27 FCW AND 296.200 WAC. � <br /> ,�''// /, // FEE <br /> —�� Date <br /> Signature <br /> DEBIT P�CREDIT CARDS ARE NOT ACCEPTED .E�ol-a a 3 <br />